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Original research
Images in neonatal medicine
Giant cranial pseudomeningocele after vacuum extraction
  1. Valentin Favier1,
  2. Oscar Werner2,
  3. Thomas Roujeau3
  1. 1 Département d'ORL et chirurgie maxillofaciale, Centre Hospitalier Regional Universitaire de Montpellier, Montpellier, France
  2. 2 Département d'imagerie pédiatrique, Centre Hospitalier Regional Universitaire de Montpellier, Montpellier, France
  3. 3 Département de neurochirurgie pédiatrique, Centre Hospitalier Regional Universitaire de Montpellier, Montpellier, France
  1. Correspondence to Dr Valentin Favier, ORL et Chirurgie cervico-faciale, Centre Hospitalier Regional Universitaire de Montpellier, Montpellier 34295, France; valentin_favier{at}hotmail.com

https://doi.org/10.1136/archdischild-2020-319344

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    A female newborn was presented to the neurosurgery department at 3 weeks of age with a subcutaneous scalp bulge (figure 1A).

    Figure 1

    (A) Extracranial transilluminant collection. (B) Coronal, T2-weighted MRI of the cranium showing a leak through the metopic suture suggesting a dural defect, a subaponeurotic pseudomeningocele and bilateral brain lesions.

    She was born at 40 weeks of gestation by vacuum extraction in another hospital. A frontal caput succedaneum was present at birth, and a cephalhaematoma developed next to the sagittal suture during the following …

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    Footnotes

    • Contributors Conception or design of the work, data collection: VF, OW. Data analysis and interpretation: VF, TR. Drafting the article: VF. Critical revision of the article: VF, OW, TR. Final approval of the version to be published: VF, OW, TR.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.